Jackson, Jody M

Jackson, Jody M is an sole proprietor health care provider with primary practice located at 33 Wentworth Ave E Suite 240, West St Paul MN 55118-3431. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Jackson, Jody M can be contacted via phone (612) 770-7565.

Contact Information

Primary practice address
33 Wentworth Ave E Suite 240 West St Paul MN 55118-3431
Phone: (612) 770-7565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 153830-6 Minnesota

Profile Details

NPI number 1407235922
LBN Legal business name Jackson, Jody M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2015
Last updated Dec 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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